19738 7924 OCTOBER STREET L),o-,4 £ cy1 TTa ! PHONE: M-4581 /
Building Permit Confirmed r�
Not Required ❑
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR yyMECHANICAL PEyRMIT
Date....�1...._02.4._l.............. 19/-_4 Permit No..1 J..-- .. .....
The undersigned hereby makes�applicetion7to)fhej Plumbing Inipeafor of the City of Sen Jose
fore permit }o install the'meohenicdlPwor4ilii}ed�on`iha ie4erseAsida!
Exemption from requuamenf for Siete o4 California for Con}rector's License is hereby claimed
by undersigned: as owner ❑ statement {fled
Undersigned attests the+ his State of California Contractor's License #
is in full force and affect and properly 1hji��s-'ihis/gp�ic��
San Jose City Business License #
I certify that in the performance of the work for which }his permit is issued 1 shall not employ
any person in any m nner so as to violate the workmen's ompensafion laws of California.
OWNER n
ADDRES o� Lot No.
USE OF BUILDING��/�l�
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7924 OCTOBER STREET G? � (/ J.D.M. EETMECAL
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